Individual provider Active NPI

Christina M Wohleber, PSY.D

  • Psychologist
  • King of Prussia, PA
National Provider Identifier
1871751230
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017625 Issued in PA
Practice address
491 Allendale Rd
Ste 301
King of Prussia, PA 19406-1432
Phone
(610) 308-7575
Fax
(508) 433-1871
NPI assigned
Jun 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X PS017625 PA Primary

Addresses

Primary practice location

491 Allendale Rd
Ste 301
King of Prussia, PA 19406-1432

Mailing address

2315 Springview Rd
Norristown, PA 19401-1956
Phone (610) 308-7575

Other practice location 1

601 Forrest Ave
Norristown, PA 19401-5211
Phone (570) 856-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730000055 PA Practitioner - Clinical Psychologist 6608291224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CW Psychological ServicesGroup PAC ID 4880019405, 4 clinicians

Practice addresses (Care Compare)

491 Allendale Rd
Suite 301
King of Prussia, PA 19406-1432
Phone (610) 308-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017625PAMDPsychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1871751230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SPRINGVIEW RD",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194011956",
            "telephone_number": "610-308-7575",
            "fax_number": "508-433-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 ALLENDALE RD",
            "address_2": "STE 301",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061432",
            "telephone_number": "610-308-7575",
            "fax_number": "508-433-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Forrest Ave",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194015211",
            "country_code": "US",
            "telephone_number": "570-856-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOHLEBER",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-01",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.